Transcription of PW1: Plan / Work Application
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PW1: Plan / Work Application
PW1: Plan / Work Application . Orient and affix BIS. job number label here Must be typewritten. 1 Location Information Required for all applications. House No(s) Street Name Borough Block Lot BIN No. Work on Floor(s) Apt. / Condo No(s). 2 Applicant Information Required for all applications. Fax, mobile telephone and e-mail address are optional information. Last Name First Name Middle Initial Business Name Business Telephone Business Address Business Fax City State Zip Mobile Telephone E-Mail License Number Choose one: Sign Hanger Other: 3 Filing Representative Complete only if different from applicant specified in section 2. Fax, mobile phone, and e-mail are optional info. Last Name First Name Middle Initial Business Name Business Telephone Business Address Business Fax City State Zip Mobile Telephone E-Mail Registration Number 4 Filing Status Required for all applications. Choose one and provide specified associated information. Initial Filing 5, 7, 11, 12A, 25-26 Prior to Approval Actions 25-26 Reinstatement 24-26.
18 Fire Protection Equipment. Existing Proposed Yes No Yes No Fire Alarm Fire Suppression Sprinkler Standpipe 12A 12BDistrict(s) Overlay(s) Street Status: Special Dist.(s) Map Number Street legal width: ft. Public Private. If the zoning lot includes multiple . tax lots, list all tax lots here
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